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SHUKURA TYSHONA WILLIS
NPI 1366314841
Technician - Personal Care Attendant in Omaha, NE

Active since September 23, 2025
2303 GRAND AVE, OMAHA, NE 68110(402) 813-5340 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shukura Tyshona Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHUKURA TYSHONA WILLIS (NPI 1366314841) is an individual personal care attendant in Omaha, Nebraska and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1366314841
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSHUKURA TYSHONA WILLIS
Location Address2303 GRAND AVEOmaha, NE 68110-1492
Mailing Address2303 Grand AveOmaha, NE 68110-1492
Phone(402) 813-5340
Sole ProprietorYes
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1366314841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
2303 GRAND AVE, Omaha, NE 68110
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shukura Willis's NPI number?

The NPI number for Shukura Willis is 1366314841. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Shukura Willis located?

Shukura Willis practices at 2303 Grand Ave, Omaha, NE 68110. The listed phone number is (402) 813-5340.

What is Shukura Willis's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Shukura Willis was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.